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Effects of exercise programs on physical function and activity levels in patients undergoing hemodialysis: a randomized controlled trial


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Título : Effects of exercise programs on physical function and activity levels in patients undergoing hemodialysis: a randomized controlled trial
Autor : Pérez Domínguez, Francisco de Borja
Casaña Granell, José
García Maset, Rafael
García Testal, Alicia
Meléndez Oliva, Erika
Segura Ortí, Eva
Materias: HemodiálisisHemodialysisEducación físicaPhysical educationTerapiaTherapyCalidad de vidaQuality of lifeEnfermedadDiseasesRiñonesKidneys
Editorial : Minerva Medica
Citación : Perez-Dominguez, B., Casaña-Granell, J., Garcia-Maset, R., Garcia-Testal, A., Melendez-Oliva, E. & Segura-Orti, E. (2021). Effects of exercise programs on physical function and activity levels in patients undergoing hemodialysis: a randomized controlled trial. European Journal of Physical and Rehabilitation Medicine, vol. 57, i. 6 (dec.), pp. 994–1001. DOI: https://doi.org/10.23736/S1973-9087.21.06694-6
Resumen : BACKGROUND: There are still many barriers when implementing exercise routines within daily dialysis care, even though benefits are well-known. Developing cost-effective strategies is necessary to overcome these barriers and include exercise as a complementary therapy in dialysis. AIM: To compare several exercise programs on hemodialysis patient’s functional capacity and health-related quality of life. DESIGN: This study was a 16-week follow-up, two-parallel group trial with balanced randomization. SETTING: Participants in this study belonged to a private hospitalized care center. POPULATION: Referred sample of 71 patients that suffered end-stage chronic kidney disease who underwent hemodialysis for at least 3 months and had a medical stable condition. METHODS: Thirty-six participants performed for 16 weeks an intradialytic exercise program lead by the nursing staff of the hemodialysis unit and 35 a home-based program supervised by physical therapists of the hospital. RESULTS: The main researcher and the data analyst were both blinded to participant allocation. There was a significant effect in time for both groups. Participants improved significantly in the Short Performance Physical Battery (SPPB), One-Leg Heel-Rise (OLHR) and 6 Minute-Walk Test (6MWT), and in the Physical Activity Scale for the Elderly (PASE) and Short Survey Form 36 (SF-36) questionnaires. CONCLUSIONS: Nurse-led and home-based exercise interventions produce beneficial effects involving physical function, activity levels and health-related quality of life in patients undergoing hemodialysis. CLINICAL REHABILITATION IMPACT: The study emphasizes the importance of exercise rehabilitation routines in fragile populations such as dialysis patients, and the potential to overcome barriers for its daily implementation.
Descripción : Este recurso no está disponible en acceso abierto por política de la editorial.
URI : http://hdl.handle.net/10637/15105
Derechos: http://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
ISSN : 1973-9087
1973-9095 (Electrónico)
Fecha de publicación : dic-2021
Centro : Universidad Cardenal Herrera-CEU
Aparece en las colecciones: Dpto. Enfermería y Fisioterapia





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